Editor in Chief Dr KK Aggarwal, Padma Shri Awardee                                                                               Dated:10 February,2020

New technique to improve melanoma detection, treatment

Cancer spreads around the body when circulating tumour cells (CTCs) shed from the primary tumour and travel through the blood to form secondary tumours (metastases) in other organs.

WashingNew technique to improve melanoma detection, treatment ton D.C. [USA]: Considering all the relevant studies published till date, it has come to light that treating obesity in children as well as adolescents helps in improving their self-esteem and body image.

The analysis was published in the journal Pediatric Obesity. It included an analysis of 64 studies.Losing weight appeared important for achieving improvements in body image and self-esteem....read more

SC seeks response from Rajasthan Govt on plea for probe into over 100 infant deaths in Kota hospital

Reproduced from: PTI
According to government report, over 100 infants lost their lives at the Kota government hospital in December 2019.

NEW DELHI: The Supreme Court has sought response from the Rajasthan government on a plea that seeks investigation into the death of over 100 infants at a hospital in Kota recently....read more

CMAAO Update 10th February on novel Coronavirus (2019-nCoV)

40, 553 confirmed cases in 28 countries; 910 deaths
Serious cases: 6,484; New cases: 296
Cases severity: 82% mild, 15% severe, 3% critical, 2% deaths
6484 Serious cases, Mortality in admitted cases 15% (expected 972 more)....read more

VERDICT: Go for Coronary CT in NSTEACS

Early coronary CT angiography (CTA) can accurately exclude coronary stenosis in patients with non-ST-segment elevation acute coronary syndrome (NSTEACS).

The negative predictive value of CTA to rule out coronary artery stenosis of at least 50% was found to be 90.9% (95% CI, 86.8% - 94.1%). Most false-negative results were noted in those who had a single stenosis in small side branches with a luminal diameter of < 2.5 mm. The positive predictive value of CTA was 87.9%, with sensitivity being 96.5%, and specificity of 72.4%....read more

The Spiritual Meaning of Lord Shiva

Most of us worship Lord Shiva without understanding the deeper meaning behind him. In Hindu mythology, Shiva is one of the three forms of God (Brahma, Vishnu and Mahesh).

The Parmatma or spirit or GOD can be equated to a mixture of three forces representing Generator (Creator or Brahma); Organizer (Maintainer or Vishnu); Destroyer (Winding up or Mahesh or Shiva).The same three forces are also present inside our body to perform any work, which can be linked to create or generate an idea, maintain or organize the contents of the idea, and then destroy or wind up so that new work can be undertaken through Ganesha – the Lord of new happenings....read more

How Corona Aware Are You

Health Sutras By Dr K K Aggarwal

Any chest pain of less than 30 minutes duration is not heart pain. Chewing a tablet of water soluble 300 mg aspirin at the onset of heart attack can reduce the chances of death by 22%.



Healthcare News Monitor

Industry seeks clarity from govt on implementation of QR code on API packs
Pharmabiz – Shardul Nautiyal

Industry has sought clarity from the Department of Pharmaceuticals (DoP), Central Drugs Standard Control Organisation (CDSCO) and Directorate General of Foreign Trade (DGFT) on implementation of Quick Response (QR) code on Active Pharmaceutical Ingredient (API) packs which has been mired in practical difficulties since last year. Government had floated the idea for QR coding of medicines to help pass on the benefit of fair pricing to the patient or consumer and to also track counterfeit or spurious drugs. A draft notification was also issued under Drugs and Cosmetics (D&C) Rules in August 2019 proposing that every API manufactured in India or imported into India will need to carry QR code on its label to facilitate tracking and tracing. “Though the proposal is for confirming the source of the material, printing of the Code is to be implemented at every level of API pack, for both imported and locally manufactured APIs,” according to an industry official. This raises the issue of maintaining the QR code even when API is repacked in smaller quantities. Also the container with the QR Code in which the API is imported or supplied could be misused by an unscrupulous dealer to supply any another material. DGFT has also been proposing bar-coding and aggregation of all pharma export packs. In February 2019, DoP had issued an office memorandum (OM) informing that from April 2020, all medicine packs supplied under Public Procurement Policy (PPP) would need to carry QR Code containing information on maximum retail price (MRP) and other details.

It is right time to propel usage of EHRs across all hospitals through Ayushman Bharat: Experts
Pharmabiz – Nandita Vijay

India now needs to look at an integrated model of healthcare by implementing both modern and traditional systems of treatment protocols. This along with the adoption of technology is the way forward. Hence it is the right time and an opportunity for the country to propel usage of electronic health records (EHRs) across all its hospitals through Ayushman Bharat. Dr BN Gangadhar, director, National Institute of Mental Health and Neuro Sciences (NIMHANS) pointed out that while modern medicine has the mastery over prevention of infections with vaccines and antibiotics, this together with the technology-assisted procedures, interventional radiology, robotic surgery and telemedicine facilitate faster diagnostics and treatment intervention. Technology enabled areas in healthcare has allowed empanelment of hospitals and a simple patient registration process. The verification of beneficiaries under the various government schemes was also possible via a demographic and biometric based process. Besides technology has spurred real-time and secure transactions at hospitals. Further, it has led to portability medical services permitting easy access anytime, anywhere and for anyone. In addition, technology has increased transparent healthcare function to ensure fraud prevention which is most useful for the Union government's cashless and paperless healthcare access platform Ayushman Bharat, stated Dr Gangadhar at the third edition of the Indian Institute of Management, Bengaluru’s third edition of Ayusmat 2020. Moving on from the advantages of technology in healthcare, Dr Gangadhar noted, “There is a need to put together a model to integrate modern and traditional medicine. When India has a long standing use of traditional medicine, there is need to demonstrate the efficacy of Ayush.

India’s first coronavirus patient may soon walk out of hospital
Hindustan Times- Ramesh Babu

A 24-year-old student, who became the first person in India to test positive for novel coronavirus (2019-nCoV) after she returned to Kerala from China in January, has “consistently tested negative” in the past five days, doctors said on Monday. Doctors said that the 24-year-old has tested “negative” for the virus five times in a row and that if a final test shows good signs then she will be allowed to go home. “The student’s latest sample, which is her fifth, is also negative,” doctors at Thrissur medical college hospital, where the patient has been recovering, said. If she is allowed to go home, she will be quarantined, the doctor, who did not wish to be identified, said. “…We can say she is completely recovered. To ensure this, we are awaiting another result after this she can go home and can be quarantined there for another two weeks or so,” said a senior doctor at the hospital. He said her age and medical background helped her recover, the doctor said. All three 2019-nCoV cases in India have been reported in Kerala among students who returned from China’s Wuhan — the epicentre of the outbreak. The other two students are undergoing treatment in isolation wards at hospitals in Kasaragod and Alappuzha.

The New Indian Express

A 22-year-old woman was admitted to a City hospital with bullet injuries on Monday. What initially was reported as firing allegedly by unidentified miscreants turned out to be a different story after police investigation started. The incident took place in Infocity Police limits of the Capital. Complainant Ashish Kumar Nayak of Adarsh Nagar area told police that the woman, reportedly a fashion design student, was shot at by bike-borne miscreants in his presence. A friend of his was also present when the firing occurred. As this matter picked up attention, police reached the hospital and began an investigation and quizzed Nayak. “Nayak was questioned and the matter was investigated as per his claims. Police visited the spot where he claimed the crime occurred but did not find any evidence. A team then visited the woman’s house and found blood stains on the bed and on the door’s lever,” Additional Commissioner of Police Anup Kumar Sahoo said. The story, according to police, was Nayak had gone to the woman’s place at Bajarangi Vihar area. He was allegedly armed with a gun and flashing it to his female friend. Police said he accidentally fired and the bullet hit the girl’s right leg, exited and pierced her left thigh too. Nayak then telephoned one of his friends to come to the woman’s house. The duo rushed the victim to a hospital in Nalco Nagar and reported the matter to police. Condition of the victim, a native of Balasore, is stated to be stable. As per reports, the tribal woman, Dhaben Muduli of Ghataguda village under Dasmantpur block in the district, complained of labour pain on Sunday. Subsequently, family members of Muduli carried her in a sling and waded through the Muran river for 2 km to reach Dasmantpur Community Health Centre (CHC). The condition of Muduli and her child is stated to be stable. Due to the lack of a road to the village, Ghataguda villagers are often forced to wade through the Muran river, thus risking their lives. In 2011, two girls reportedly drowned while crossing the river in the absence of a proper road to the village. Even after repeated requests from the locals, the district administration is yet to take any measure to solve their problem. Earlier in November 2019, a pregnant woman of Ambapadar village under Dasamantpur block in Koraput district was carried in a sling for around four km due to lack of road link to the village.